Employee Benefits Claims
Prudential · Kuala Lumpur (Group Head Office)
Full-timeonsitemidOtherCustomer Service
รายละเอียดงาน / Description
Based in Malaysia, this role involves providing dedicated claims services to claimants and financial consultants, focusing on efficient and effective claims management. You will adjudicate various group claims, ensuring prudent and equitable decisions within service level agreements. The position requires adherence to regulatory requirements and collaboration with internal and external parties to process claims accurately and manage inquiries.
หน้าที่ความรับผิดชอบ / Responsibilities
- Adjudicate various group major and medical claims, ensuring timely and fair decisions
- Ensure compliance with regulations, company guidelines, and policy terms
- Collaborate with underwriters and other business units for accurate claim processing
- Manage relationships with external parties like medical institutions and TPAs
- Oversee claim investigations with adjusters, legal advisors, and medical professionals
- Handle inquiries, complaints, and appeals related to claims
คุณสมบัติ / Qualifications
- 2 to 3 years of experience in life and medical claims processing
- Diploma or Degree qualification
- Detail-oriented with a commitment to accuracy
- Excellent written and verbal communication skills in English
- Strong conflict resolution and relationship management abilities
- Customer-centric approach and ability to work under pressure
ทักษะที่ต้องการ / Required skills
- Claims Processing
- Life Claims
- Medical Claims
- Regulatory Compliance
- Communication
- Customer Service
- Problem Solving
ทักษะเพิ่มเติม / Nice to have
- Conflict Resolution
- Relationship Management
- Teamwork